Jimenez, John Ricardo

Jimenez, John Ricardo is an sole proprietor health care provider with primary practice located at 83 Pinewood Ave , Central Islip NY 11722-3213. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Jimenez, John Ricardo can be contacted via phone (631) 761-6029.

Contact Information

Primary practice address
83 Pinewood Ave Central Islip NY 11722-3213
Phone: (631) 761-6029
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X New York

Profile Details

NPI number 1982965059
LBN Legal business name Jimenez, John Ricardo
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2012
Last updated Jun 5th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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